Appolonia Residential Living
Custodial Care Facility, Adult Care Home in North Las Vegas, NV. Organization (NPI-2).
NPI number1386995751
StatusActive
Last updated in NPPESSep 26, 2012
Details
- NPI
- 1386995751
- Entity type
- Organization (NPI-2)
- Legal business name
- Appolonia Residential Living
- Organization subpart
- No
- Enumeration date
- Sep 26, 2012
- Last updated
- Sep 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
5336 Laquinta Hills StNorth Las Vegas, NV 89081
Phone 317-331-7981
Mailing address
5336 Laquinta Hills StNorth Las Vegas, NV 89081
Authorized official
Shameka Davis
President
3173317981
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